Some Lid Conditions which lead to pain or decreased vision are medical conditions which may require surgery to correct the problem. Below are descriptions of some the different types of medically related eyelid procedures.
Chalazion excision may be required if it fails medical treatment. It is a quick office procedure where the incision is usually made on the backside of the lid to prevent a visible scar. After the procedure, antibiotic ointment and a patch is placed. There may be some temporary lid swelling and bruising after the procedure. It is recommended that patients come with a companion who can drive them home after the procedure.
Repair of the upper eyelid may be medically indicated if excessive sagging of the upper eyelid skin or drooping of the upper eyelid is severe enough to affect vision. Your eye doctor may order some Diagnostic Tests, such as a visual field, to determine if the lid droop is severe enough to affect vision. Eyelid lift (blepharoplasty or ptosis repair) is a procedure where the excessive sagging lid skin is removed and the lid attachment may be tightened to lift the lid. The stitches will naturally dissolve in several weeks. The lids may be swollen and bruised for approximately 1 to 2 weeks after surgery. This is an outpatient procedure where the patient goes home the same day of surgery.
Poor positioning of the lower eyelid may require surgical repair. Poor positioning of the lower lid may result in the lid turning outwards (ectropion) or turning inwards (entropion) which can lead to redness, pain, tearing, and decreased vision. Ectropion and entropion repair require a surgery where the attachment of the outer lid is tightened to rotate the lid back into its normal position. The stitches naturally dissolve in several weeks. Swelling and bruising may last for 1 to 2 weeks after surgery. This is an outpatient procedure.